Fallon Harman Park

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

229883 Issued in AR

Practice address

1021 Neil Dr
Jonesboro, AR 72401-4462

Phone

(870) 273-2799

Fax

(501) 325-7874

NPI assigned

Jul 25, 2024

Last updated

Nov 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wound Solutions of Nwa, LLC

  • Clinic/Center
  • Rogers, AR
  • NPI 1043904261
  Medicare reassignment NPD
• Wound Solutions of Central Arkansas LLC

  • Clinic/Center
  • Jonesboro, AR
  • NPI 1447952346
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1184452583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 NEIL DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014462",
            "telephone_number": "870-273-2799",
            "fax_number": "501-325-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 NEIL DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014462",
            "telephone_number": "870-273-2799",
            "fax_number": "501-325-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "FALLON",
        "middle_name": "HARMAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "229883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Samuel Palmer, M.D.
• William Lee Panneck, DDS
• Joanne Marie Pardun, D.O.
• Aayushi Pareek, MD
• Mona Parikh, MD
• James Douglas Park, D.C.
• Amy Michelle Parker, P.T.A.
• Avril Alison Parker, CRNA
• Chasity Parker
• Heather Renee Parker, LPC

• Family Nurse Practitioner in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.